NOVATO, CA —
OSHA Injury Report: 0141 - NOVATO CA
Injury · Days away from work
At a glance
On , an injury at 0141 - NOVATO CA in NOVATO, CA 95112 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0141 - NOVATO CA
- Parent company
- Costco Wholesale
- Street
- 300 VINTAGE WAY
- City
- NOVATO
- State
- CA
- ZIP
- 95112
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 26
Before the incident
moving empty pallet
What happened
Was in the deli meat stock room he attempted to move the empty pallets his foot got caught on one and he slipped
Injury or illness
Bruise or Contusion Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Knee Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 322
- Total hours worked
- 532530
- EIN
- 911223280
- Establishment ID
- 1217159
- Employer case #
- WC608G7163
When (timing detail)
- Date of incident
- Time of incident
- 11:35:00.000
- Submitted
- 04MAR24:19:29:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.